Articles tagged with Insurance
A study found that racial and ethnic differences in US disability insurance approval rates are largely attributed to socioeconomic, health, and demographic factors. After adjusting for these factors, the disparities in allowance rates become statistically insignificant.
A US study found that affluent neighborhoods are at higher risk of fire, but tend to recover faster, with 78% of severely burned areas failing to return to pre-fire temperatures within five years. Higher-income areas also experienced smaller losses in vegetation and recovered temperatures more quickly.
A new study reveals that workers with variable hours and incomes are more likely to rely on Medicaid or ACA Marketplace plans, which may be affected by 2027 changes. Millions of low- and middle-income workers with irregular schedules will be particularly susceptible to Medicaid disenrollment due to fluctuating work hours.
A new study finds that Medicaid ACOs in Massachusetts improved maternal healthcare quality and equity by incorporating maternal metrics and initiatives, but faced challenges in meeting metrics and implementing new initiatives. The researchers offer recommendations to overcome barriers in maternal healthcare delivery.
A new study found that nearly 20% of eligible adults in Medicaid expansion states are at risk of losing health coverage due to insufficient or inconsistent work hours. Women, unmarried people, and those with limited education are disproportionately affected.
Researchers found that smaller networks can be Pareto optimal, where no bank can be made better off without making another worse off. The study suggests that larger networks can lead to free-riding, reducing expected profits and market efficiency.
A multiprogram enrollment application can conserve valuable time and resources by enabling people to apply to several public benefit programs at once. States can simplify applications by shortening them, incorporating autopopulated responses, and updating systems to identify complex cases.
Tirzepatide has been shown to reduce the risk of heart attacks and hospitalizations due to infections in people with type 2 diabetes and obesity. The study found a relative risk reduction of about one-third, corresponding to a 36% reduced risk of infection-related hospitalization.
A new study by Oregon Health & Science University reveals that large corporations are shaping how kids in Medicaid receive care, leading to varying patterns in behavioral health services. The research highlights the need for closer scrutiny of managed care organizations' corporate strategies versus their public mission.
Researchers urge caution on GLP-1 insurance coverage due to massive budget impact and limited data supporting long-term savings. Compounded versions of the medication can be unsafe, and patients require comprehensive support to achieve weight loss and disease prevention.
The California FAIR Plan, a state-mandated backstop, has seen its footprint grow as average homeowner insurance premiums rose 84% between 2020 and 2026. The plan now covers about 5% of single-family homes, backing approximately 6% of new mortgage originations.
A new project aims to create an early warning system for climate impacts like flooding or droughts, helping insurers react quickly. Researchers will develop models of insurer responses to different levels of climate change, combining climate science with behavioral and political sciences.
Researchers found that analysts from countries with a strong emphasis on long-term planning are better at predicting long-term earnings and making more profitable stock picks. These analysts also prompted managers to disclose more long-term information during earnings calls, providing a valuable perspective for investors.
Global wildfire activity in 2025 resulted in destructive and deadly fire events, with 335 million hectares burned globally - 16% below the long-term average. The fires accounted for 38% of all insured natural hazard losses, with Canada experiencing its third consecutive year of extreme fire activity.
A cohort study found increased pediatric capability was not linked to differences in imaging use by insurance or racial/ethnic groups. Additional efforts are needed to improve quality and equity of care for children.
A new report highlights the catastrophic risks of nature loss on food systems, economies and societies. Chronic pressures like soil degradation and water scarcity are already reducing crop yields and increasing food prices.
A new analysis from UC San Francisco argues that diagnostics are being overlooked, slowing progress against major diseases despite advances in targeted therapies. The study suggests that nearly half of the world's population lacks adequate access to diagnostics due to inadequate investment and insurance reimbursement.
Public long-term care insurance in China's pilot program cuts catastrophic health spending by up to 52%, shifting care away from costly medical interventions. This model offers a powerful alternative for value-based end-of-life care.
Researchers analyzed electronic health records from over 39,000 adults with diabetes, finding that those who lost insurance had poorer blood sugar control and needed more intensive medications. The study suggests that coverage gaps pose a direct threat to health, particularly for low-income patients.
Researchers developed a nonparametric statistical inference theory for integrals of quantiles, applicable to various data settings. The framework offers unified large-sample arguments for classical estimators and insights into conditions for asymptotic results.
Researchers found that less transparency in bond markets can lead to better economic outcomes, as it imposes discipline on players and makes institutions more selective about bonds they buy. This is in contrast to the 2008 global financial crisis, which was triggered by too much public information and looser credit.
A recent study predicts that nearly 1 in 10 Medicare Advantage beneficiaries will be forced to disenroll from their current plans in 2026. The drivers of these disenrollments include changes to plan payments and risk adjustment, as well as unanticipated increases in healthcare use among Medicare Advantage enrollees.
A new study published in Risk Sciences investigates the potential of big data and modern predictor-selection methods to improve health insurance risk assessment. The analysis reveals that adding big data, particularly from smartphone use, improves out-of-sample prediction compared to traditional underwriting information.
A new three-dimensional framework organizes how risks are studied and managed, focusing on identification and assessment, mechanism and strategy, and behavior and decision. This framework brings together perspectives from diverse fields to better understand complex risks.
A study published in the New England Journal of Medicine found that children whose parents were injured by firearms experience substantial mental health impacts, with a 42% increase in psychiatric diagnoses and 60% increase in mental health visits. Early, targeted interventions are needed to address this growing need.
Drivers who participated in a program based on their driving habits showed reduced speeding, hard braking, and rapid acceleration by up to 25%. They continued these safe habits even after the program ended. The programs were equally effective in improving safety scores.
A new study finds that hospitals treating more patients with Medicare Advantage plans face higher readmission penalties despite taking similar actions to prevent repeat hospitalizations. The analysis highlights the need to incorporate Medicare Advantage data into the Hospital Readmissions Reduction Program.
A new report highlights the growing impact of climate-related disruptions on global supply chains, which are increasingly exposed to climate-related shocks. The sector's inability to manage systemic risk may undermine stability and amplify climate stress unless substantial changes are made to business models and regulation.
A US study of over a million Medicaid enrollees reveals major gaps in access to medication-based addiction treatments, particularly for Black patients. Methadone and buprenorphine show significant overdose risk reductions, highlighting the need for policy reforms to ensure timely access.
A new study found that access to wheelchairs through Medicare-listed suppliers is inconsistent and often challenging due to administrative requirements and long delivery timelines. The research highlights the need for policy changes to assist vulnerable older adults in accessing critical medical equipment.
Researchers warn that Medicaid funding cuts will have significant spillover effects on children's health due to a lack of consideration for their coverage. Experts suggest policies such as loan repayment and increased investment in pediatric workforce development can help mitigate the issue.
A University of Michigan study found that Medicaid coverage is linked to employment gains among low-income adults with serious health problems. Employment nearly doubled among enrollees who experienced improved health, from 26% to 47%. This suggests that Medicaid expansion may actually help individuals participate in the workforce.
JMIR Publications invites submissions on navigating AI-enabled uncertainty in healthcare management, with a focus on practical guidance for senior management and administrators. The theme issue explores topics such as AI-enabled reimbursement, cloud migration, and vendor dynamics.
Researchers found that Medicaid accountable care organizations (ACOs) can improve some maternal health outcomes if designed thoughtfully. The study highlights the importance of value-based care delivery design within Medicaid programs to support low-income women before, during, and after pregnancy.
A study by University of Arizona researchers found that selecting the right data for flood insurance can significantly improve accuracy, speed, and predictability. The type of data used affects not only payout timing but also confidence in anticipating future payouts, influencing program costs.
Research at UCLA Health Sciences found that high-markup hospitals charge up to 17 times the true cost of care, resulting in poorer patient outcomes, including higher complication and readmission rates. Patients treated at these hospitals often experience financial toxicity or medical bankruptcy.
Dr. Alan Sager presents a guide to thorough healthcare reform in the US, citing high costs and inadequate insurance coverage as major issues. He proposes solutions such as containing costs safely, insuring all Americans, and securing adequate pay for doctors and hospitals.
A new study from Ann & Robert H. Lurie Children's Hospital of Chicago highlights the urgent need for better Medicaid coverage for anorexia care after hospitalization. The research reveals that Medicaid-insured patients with anorexia hospitalized for medical stabilization remain in the hospital longer than peers with private insuran...
A new University of Michigan study found that critically ill patients without health insurance are less likely to receive inter-hospital transfers for treatment, leading to higher mortality rates. Patients with commercial insurance have a significantly lower risk of death compared to those without insurance or with Medicare/Medicaid.
Among youth aged 15-24, polysubstance-involved opioid overdose deaths rose steadily with age, driven by fentanyl and synthetic opioids. By age 21, polysubstance involvement surpassed opioid-only fatalities, primarily due to stimulants like methamphetamine and cocaine.
Researchers developed a customized parametric insurance system using Probabilistic Tsunami Risk Assessment (PTRA) to quantify tsunami losses and payouts. The proposed framework reduces overpayment by 60.9% while maintaining risk reduction, potentially saving lives and money.
Two studies from University of Michigan researchers suggest many older adults and people with disabilities need more impartial help picking the best Medicare plan. Only about 13% of enrollees switch plans annually, and even fewer use the internet to research options.
A study by researchers at UCSF found that young patients who received eight or more outpatient therapy sessions after a hospital stay were 25 times less likely to be readmitted. The therapy was delivered by community-based clinicians and did not require specialist expertise. This simple yet effective approach has the potential to break...
A cross-sectional study found that stronger gun laws were associated with lower overall firearm mortality, particularly for suicide. Policies addressing root causes of violence through economic mobility and social services may also reduce homicides.
A new study found that almost all Medicaid managed care plans (MCPs) cover at least one form of naloxone, with 94% covering generic injectables or 4-mg nasal sprays. However, certain restrictions and quantity limits may prevent people from accessing this life-saving drug.
A new analysis examines the effectiveness of a Centers for Medicare and Medicaid Services (CMS) add-on code targeting infectious disease (ID) physicians. The measure aims to combat the growing shortage of ID physicians and has the potential to reset national benchmarks for ID compensation.
The health care workforce experienced decreased employment growth during the pandemic but fully recovered by 2024. This unique recovery is attributed to health care financing via insurance coverage that shielded health care employment from macroeconomic fluctuations.
A new study found that problems with accessing high-quality care were a major driver for switching Medicare Advantage plans, not cost concerns. Dissatisfaction with medical care access was more common among those in poor health, and those who enrolled in MA plans with low star ratings were also more likely to switch.
A new study projects that wind losses for homeowners in the Southeast will increase by 76% by 2060 and 102% by 2100. Texas is expected to experience the highest increase in losses, followed by Louisiana, Mississippi, and Alabama.
A new study reports a substantial increase in mental health and neurodevelopmental disorder diagnoses among publicly insured children between 2010-19. The percentage of diagnoses rose from 10.7% to 16.5%, with a significant increase observed even before the COVID-19 pandemic began.
A new University of Michigan study suggests that Medicaid unwinding may have disrupted the care of people receiving treatment for opioid addiction. Patients were less likely to continue filling buprenorphine prescriptions and more likely to pay with cash or private insurance in states with large versus small Medicaid enrollment drops.
A recent FAU survey found that most Floridians are concerned about rising insurance premiums due to climate change, with nearly two-thirds worried about affordability. The survey also reveals strong support for addressing climate change, expanding renewable energy, and teaching climate science in schools.
An analysis of differential coding patterns between Medicare Advantage (MA) and Traditional Medicare (TM) plans estimated that MA plans received an estimated $33 billion in additional revenue due to coding differences. The study found that UnitedHealth Group received the most additional revenue, with a $1,863 increase per member.
A new paper highlights emerging alternatives to traditional diabetes medicines, such as continuous glucose monitors and lifestyle interventions like GEM, which can improve patient adherence and long-term health outcomes.
A new dynamic percolation model assesses the upper bounds of losses for drone swarms under cyberattacks, considering system parameters such as signal strength and node vulnerability. The study finds that optimized allocation of defense resources and improved communication protocols can significantly reduce losses.
The study found that nearly 1-in-3 young people now live with pediatric onset conditions that significantly affect their lives. Young adults are more likely to develop chronic conditions if they have lower socioeconomic status.
A new framework for endowment contingency funds ensures equitable compensation among participants by pooling contributions and distributing resources upon adverse events. The framework's mathematical modeling reveals that as the pool approaches infinity, the distribution of payouts converges to traditional insurance mechanisms.
US outpatient prescriptions for ivermectin and hydroxychloroquine increased significantly during the COVID-19 pandemic, with usage being three times higher among adults aged 65 and older. The study's findings highlight the need for policy reforms to combat misinformation and mistrust in scientific institutions.
A recent study found that telehealth is closing the care gap for people with substance use disorder in rural areas, but those covered by Medicaid managed care have lower access to this treatment. Rural individuals experienced the greatest overall increase in substance use disorder treatment among all populations studied.
A study by Brown University researchers found that nearly half of primary care providers in the US are affiliated with hospitals or private equity firms, resulting in higher charges. These affiliations were linked to a 10.7% increase in negotiated prices for office visits compared to independent practices.